Cecum Volvulus. Presentation of a Case and Literature Review
Volvulus is the abnormal torsion or rotation of a portion of the intestine on its mesentery, which causes occlusion of the lumen, obstruction, and vascular compromise. Cecum volvulus is a rare clinical condition and represents only between 2 and 3 % of cases of intestinal occlusion in adults. We pre...
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Universidad de las Ciencias Médicas de Cienfuegos
2023-05-01
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| Online Access: | https://revfinlay.sld.cu/index.php/finlay/article/view/1225 |
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| author | Ernesto Pérez Quintana José Alberto Puerto Lorenzo Lidia Torres Aja |
| author_facet | Ernesto Pérez Quintana José Alberto Puerto Lorenzo Lidia Torres Aja |
| author_sort | Ernesto Pérez Quintana |
| collection | DOAJ |
| description | Volvulus is the abnormal torsion or rotation of a portion of the intestine on its mesentery, which causes occlusion of the lumen, obstruction, and vascular compromise. Cecum volvulus is a rare clinical condition and represents only between 2 and 3 % of cases of intestinal occlusion in adults. We present the case of a 56-year-old female patient with a history of high blood pressure, diabetes mellitus and chronic constipation, who attended the surgery ward at the Dr. Gustavo Aldereguía Lima University General Hospital in Cienfuegos because several days ago she had had intermittent abdominal pain, a feeling of fullness when eating and without expulsion of feces, on occasions she had had nausea and scarce vomiting with other food. The physical examination revealed abdominal asymmetry at the expense of the right hemiabdomen, which was painful, distended, and tympanic. The simple abdominal X-ray reported an image reminiscent of cecum volvulus. A right hemicolectomy was performed with an end-to-end ileotransversostomy in two suture planes. At present, the patient has been operated for 6 months with a favorable evolution. The diagnosis of this entity is made during laparotomy in a large number of cases, as a result of its multiple forms of presentation, which can range from acute abdominal pain to septic shock. The case is presented due to the infrequent nature of this entity. |
| format | Article |
| id | doaj-art-03c66a0f0cc946448b52d45022e085ad |
| institution | Kabale University |
| issn | 2221-2434 |
| language | Spanish |
| publishDate | 2023-05-01 |
| publisher | Universidad de las Ciencias Médicas de Cienfuegos |
| record_format | Article |
| series | Revista Finlay |
| spelling | doaj-art-03c66a0f0cc946448b52d45022e085ad2025-01-30T21:22:02ZspaUniversidad de las Ciencias Médicas de CienfuegosRevista Finlay2221-24342023-05-01132242248629Cecum Volvulus. Presentation of a Case and Literature ReviewErnesto Pérez Quintana0José Alberto Puerto Lorenzo1Lidia Torres Aja2Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Volvulus is the abnormal torsion or rotation of a portion of the intestine on its mesentery, which causes occlusion of the lumen, obstruction, and vascular compromise. Cecum volvulus is a rare clinical condition and represents only between 2 and 3 % of cases of intestinal occlusion in adults. We present the case of a 56-year-old female patient with a history of high blood pressure, diabetes mellitus and chronic constipation, who attended the surgery ward at the Dr. Gustavo Aldereguía Lima University General Hospital in Cienfuegos because several days ago she had had intermittent abdominal pain, a feeling of fullness when eating and without expulsion of feces, on occasions she had had nausea and scarce vomiting with other food. The physical examination revealed abdominal asymmetry at the expense of the right hemiabdomen, which was painful, distended, and tympanic. The simple abdominal X-ray reported an image reminiscent of cecum volvulus. A right hemicolectomy was performed with an end-to-end ileotransversostomy in two suture planes. At present, the patient has been operated for 6 months with a favorable evolution. The diagnosis of this entity is made during laparotomy in a large number of cases, as a result of its multiple forms of presentation, which can range from acute abdominal pain to septic shock. The case is presented due to the infrequent nature of this entity.https://revfinlay.sld.cu/index.php/finlay/article/view/1225vólvulo intestinalhipertensión arterialdiabetes mellitusreporte de casos |
| spellingShingle | Ernesto Pérez Quintana José Alberto Puerto Lorenzo Lidia Torres Aja Cecum Volvulus. Presentation of a Case and Literature Review Revista Finlay vólvulo intestinal hipertensión arterial diabetes mellitus reporte de casos |
| title | Cecum Volvulus. Presentation of a Case and Literature Review |
| title_full | Cecum Volvulus. Presentation of a Case and Literature Review |
| title_fullStr | Cecum Volvulus. Presentation of a Case and Literature Review |
| title_full_unstemmed | Cecum Volvulus. Presentation of a Case and Literature Review |
| title_short | Cecum Volvulus. Presentation of a Case and Literature Review |
| title_sort | cecum volvulus presentation of a case and literature review |
| topic | vólvulo intestinal hipertensión arterial diabetes mellitus reporte de casos |
| url | https://revfinlay.sld.cu/index.php/finlay/article/view/1225 |
| work_keys_str_mv | AT ernestoperezquintana cecumvolvuluspresentationofacaseandliteraturereview AT josealbertopuertolorenzo cecumvolvuluspresentationofacaseandliteraturereview AT lidiatorresaja cecumvolvuluspresentationofacaseandliteraturereview |